Shan Michael Kroger in Fort Sam Houston - Physician Assistant
Shan Michael Kroger - NPI 1720287634
Shan Michael Kroger is a Physician Assistant in Fort Sam Houston, Texas. Shan Michael Kroger practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shan Michael Kroger is 1720287634. The last update date is 2020-02-26.
Shan Michael Kroger's current location address is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. You can contact this provider via phone number 2109163710. The mailing address for Shan Michael Kroger is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shan Michael Kroger |
|---|---|
| Address | 3551 Roger Brooke Dr, Fort Sam Houston, Texas |
| Phone Number | 2109163710 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1720287634 |
|---|---|
| Provider Enumeration Date | 2007-07-12 |
| Last Updated Date | 2020-02-26 |
Provider Mailing Address Detail
| Address | 3551 Roger Brooke Dr |
|---|---|
| City | Fort Sam Houston |
| State | Texas (TX) |
| Post Code | 782344504 |
| Phone Number | 2109163710 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA07473 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identification code assigned to Shan Michael Kroger by the Centers for Medicare & Medicaid Services?
The Shan Michael Kroger has been issued the NPI (National Provider Identifier) 1720287634. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Shan Michael Kroger's facilities are situated?
The facilities of Shan Michael Kroger are physically located at the following address: 3551 Roger Brooke Dr, Fort Sam Houston, TX, 782344504.
What is the Shan Michael Kroger's specialty and taxonomy code?
The Shan Michael Kroger's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1720287634 to Shan Michael Kroger?
The Centers for Medicare & Medicaid Services assigned the 1720287634 to Shan Michael Kroger on 2007-07-12.
When was the information regarding Shan Michael Kroger most recently updated?
The details pertaining to the Shan Michael Kroger, including its address, specialty, and other relevant information, were last refreshed on 2020-02-26.
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